ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) newest
2025/2026 complete questions and correct detailed answers
1. To improve the health of a population, an acute care nurse practitioner's
intervention is to:
-join a professional nursing organization and run for an organizational office.
-maintain current certification as an acute care nurse practitioner.
-participate in hospital grand rounds.
-report any unusual pattern of infections to the local health department.: report
any unusual pattern of infections to the local health department.
2. A patient, who is allergic to penicillin, requires antibiotic treatment for com-
munity-acquired pneumonia. The patient has a limited income, lacks health
insurance, and is about to be discharged from the hospital. An acute care nurse
practitioner's intervention is to:
-consult social services for assistance.
-order an aerosol antibiotic.
-transfer the patient to an extended care facility.
-write a prescription for an antibiotic.: consult social services for assistance.
3. A patient is scheduled for elective orthopedic surgery. During the preadmis-
sion physical examination, the acute care nurse practitioner detects an asymp-
tomatic pulsatile mass in the middle upper abdomen. The nurse practitioner's
most appropriate action is to:
obtain a kidney-urethra-bladder x-ray.
obtain a renal arteriogram.
obtain an abdominal ultrasound.
proceed with the patient's elective surgery.: obtain an abdominal ultrasound.
Abdominal Aortic aneurysm
4. Which musculoskeletal disease primarily involves the distal joints, hips,
knees, and spine, and is characterized by the development of Heberden and
Bouchard nodes?
Gout
1/8
, ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) newest
2025/2026 complete questions and correct detailed answers
Osteoarthritis
Osteoporosis
Rheumatoid arthritis: Osteoarthritis
Heberden: distal phalanges
Bouchard: proximal phalanges
Ditterence between OA and RA:
Heberden and Bouchard nodes are often seen in digits, they are bony round growth near the joints, while rheumatoid
nodules are more common with arms and elbows underneath the skin, people with RA later develop curving and
bending of fingers.
5. An acute care nurse practitioner is deciding whether to recommend a
long-term medication regimen that will help a patient manage disease symp-
toms but may also introduce problematic side effects. This decision reflects
which ethical principle?
Autonomy
Beneficence
Fidelity
Justice: beneficence
6. A patient, who has been in the intensive care unit for 17 days, develops hy-
pernatremic hyperosmolality. The patient weighs 132 lb (59.9 kg), is intubated,
and is receiving mechanical ventilation. The serum osmolality is 320 mOsm/L
kg H2O. Clinical signs include tachycardia and hypotension. An acute care nurse
practitioner's initial treatment is to:
reduce serum osmolality by infusing a 5% dextrose in 0.2% sodium chloride
solution.
reduce serum sodium concentration by infusing a 0.45% sodium c: replenish volume
by infusing a 0.9% sodium chloride solution.
priority is to replenish the volume and the fix the osmolality
7. A 78-year-old male patient with heart failure develops a bacterial urinary tract
infection secondary to an indwelling Foley catheter. The patient has a known
history of allergy to penicillin and sulfonamides. The appropriate choice for
2/8
2025/2026 complete questions and correct detailed answers
1. To improve the health of a population, an acute care nurse practitioner's
intervention is to:
-join a professional nursing organization and run for an organizational office.
-maintain current certification as an acute care nurse practitioner.
-participate in hospital grand rounds.
-report any unusual pattern of infections to the local health department.: report
any unusual pattern of infections to the local health department.
2. A patient, who is allergic to penicillin, requires antibiotic treatment for com-
munity-acquired pneumonia. The patient has a limited income, lacks health
insurance, and is about to be discharged from the hospital. An acute care nurse
practitioner's intervention is to:
-consult social services for assistance.
-order an aerosol antibiotic.
-transfer the patient to an extended care facility.
-write a prescription for an antibiotic.: consult social services for assistance.
3. A patient is scheduled for elective orthopedic surgery. During the preadmis-
sion physical examination, the acute care nurse practitioner detects an asymp-
tomatic pulsatile mass in the middle upper abdomen. The nurse practitioner's
most appropriate action is to:
obtain a kidney-urethra-bladder x-ray.
obtain a renal arteriogram.
obtain an abdominal ultrasound.
proceed with the patient's elective surgery.: obtain an abdominal ultrasound.
Abdominal Aortic aneurysm
4. Which musculoskeletal disease primarily involves the distal joints, hips,
knees, and spine, and is characterized by the development of Heberden and
Bouchard nodes?
Gout
1/8
, ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) newest
2025/2026 complete questions and correct detailed answers
Osteoarthritis
Osteoporosis
Rheumatoid arthritis: Osteoarthritis
Heberden: distal phalanges
Bouchard: proximal phalanges
Ditterence between OA and RA:
Heberden and Bouchard nodes are often seen in digits, they are bony round growth near the joints, while rheumatoid
nodules are more common with arms and elbows underneath the skin, people with RA later develop curving and
bending of fingers.
5. An acute care nurse practitioner is deciding whether to recommend a
long-term medication regimen that will help a patient manage disease symp-
toms but may also introduce problematic side effects. This decision reflects
which ethical principle?
Autonomy
Beneficence
Fidelity
Justice: beneficence
6. A patient, who has been in the intensive care unit for 17 days, develops hy-
pernatremic hyperosmolality. The patient weighs 132 lb (59.9 kg), is intubated,
and is receiving mechanical ventilation. The serum osmolality is 320 mOsm/L
kg H2O. Clinical signs include tachycardia and hypotension. An acute care nurse
practitioner's initial treatment is to:
reduce serum osmolality by infusing a 5% dextrose in 0.2% sodium chloride
solution.
reduce serum sodium concentration by infusing a 0.45% sodium c: replenish volume
by infusing a 0.9% sodium chloride solution.
priority is to replenish the volume and the fix the osmolality
7. A 78-year-old male patient with heart failure develops a bacterial urinary tract
infection secondary to an indwelling Foley catheter. The patient has a known
history of allergy to penicillin and sulfonamides. The appropriate choice for
2/8
